R12006OTN

Transmittal #
R12006OTN
Issue Date
2023-04-28
Subject

Correction to Payment Window Edits for Inpatient Prospective Payment System (IPPS)-Excluded Hospitals and IPPS-Excluded Units

Implementation Date
2023-10-02
CR #
13182
Provider Education
MLN Connects Newsletter Message
Provider Education Release Date
2023-07-13
Publication #
100-20
Transmittal Year
2023

MLN Connects® Newsletter Message

Inpatient Prospective Payment System-Excluded Hospitals: Correcting Issue with Excluded Units

CMS identified an issue that may cause Inpatient Prospective Payment System (IPPS)-excluded hospital claims for IPPS-excluded psychiatric or rehabilitation units to reject or deny incorrectly. We’ll implement a system update to correct this issue on October 2, 2023. See the instruction to your Medicare Administrative Contractor (MAC) (PDF).

Contact your MAC if your claims for IPPS-excluded unit were processed incorrectly. Find your MAC's website.

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